Individual provider Active NPI

Phillip Preston Farmer, FNP

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1104493980
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017037 Issued in CA
Practice address
491 E Alessandro Blvd
Riverside, CA 92508-6071
Phone
(951) 780-1835
NPI assigned
Jun 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017037 CA Primary

Addresses

Primary practice location

491 E Alessandro Blvd
Riverside, CA 92508-6071

Mailing address

22675 Alessandro Blvd
Moreno Valley, CA 92553-8551
Phone (951) 571-2300

Other practice location 1

4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642

Other practice location 2

2933 University Ave
Riverside, CA 92507-4243
Phone (951) 224-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901004265 CA Practitioner - Nurse Practitioner 9739585522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

460 N Elm St
Escondido, CA 92025-3002
Phone (760) 520-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Aug 30, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Aug 30, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Jul 28, 2021 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 2021 Accepting new patients
Neighborhood Healthcare Past Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

831 Highland Springs Ave
Ste 301
Beaumont, CA 92223
Phone (833) 864-4642

460 N Elm St
Escondido, CA 92025
Phone (760) 520-8100

728 E Valley Pkwy
Escondido, CA 92025
Phone (760) 737-6900

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

1970 University Ave
Riverside, CA 92507
Phone (951) 213-3450

4371 Latham St
Ste 200
Riverside, CA 92501

4371 Latham St
Riverside, CA 92501

8856 Arlington Ave
Riverside, CA 92503
Phone (951) 353-2702

1971 University Ave
Riverside, CA 92507
Phone (951) 284-6200

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

14735 Ventura Blvd
Sherman Oaks, CA 91403
Phone (818) 788-0208

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

Interoperability endpoints

  • Direct secure messaging: phillip.farmer.p1@direct.chsica.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1104493980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22675 ALESSANDRO BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538551",
            "telephone_number": "951-571-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E ALESSANDRO BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086071",
            "telephone_number": "951-780-1835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4371 Latham St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011706",
            "country_code": "US",
            "telephone_number": "833-867-4642",
            "fax_number": "360-462-1757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2933 University Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925074243",
            "country_code": "US",
            "telephone_number": "951-224-8220",
            "fax_number": "951-241-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER",
        "first_name": "PHILLIP",
        "middle_name": "PRESTON",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.